[Remote] Senior Clinical Pharmacist - Pipeline at Humana

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Pharmaceuticals, InsuranceIndustries

Requirements

  • Bachelor's degree
  • Active Pharmacist license with the Board of Pharmacy in the appropriate state
  • Passionate about contributing to an organization focused on continuously improving consumer experiences
  • Self-directed
  • Accountable to financial goals
  • Strong clinical research skills
  • Strong critical thinking skills
  • Demonstrates initiative and the ability to multi-task and prioritize assignments
  • Able to produce clear, concise process documentation
  • Excellent verbal and written communication skills
  • Strong organizational skills
  • Positive and proactive
  • Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
  • Flexible, dynamic personality who works well in a team environment and is also an individual contributor
  • Working knowledge of MS Excel and MS PowerPoint

Responsibilities

  • Contributes to pipeline drug process, monitoring drugs in development and new drug approvals, as well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs
  • Researches and analyzes drugs and emerging therapeutics, including financial forecasts on the web and works with analysts to inform an internal financial forecast for the company
  • Continuously monitors relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insights
  • Contributes to corporate communications of high quality to be shared with senior leadership such as pipeline updates and market event notifications
  • Partners with pharmacists, data scientists, financial analysts in a team environment
  • Contributes to Humana formulary strategy as it relates to pipeline products
  • Contributes to the creation of pipeline communications to be shared at varying levels within the company, such as presentations, emails, weekly/monthly pipeline updates and executive summaries

Skills

Clinical Pharmacy
Drug Pipeline Analysis
Financial Forecasting
Pharmaceutical Research
Medicare
Medicaid
Formulary Strategy
Critical Thinking
Communication
Data Analysis

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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